| NPI | 1891966958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9472793) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC NP 5005229) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2018-03-17 |